scholarly journals Is Self-Feeding Related to Food Consumption and Observed Child Eating Behaviors in Infants and Toddlers?

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 985-985
Author(s):  
Abigail Flesher ◽  
Kameron Moding ◽  
Kathryn Davis ◽  
Allyson Montalvo ◽  
Rebecca Boenig ◽  
...  

Abstract Objectives Child feeding can be challenging during the infant and toddler period when children are learning to eat complementary foods. We examined associations among children's eating behaviors, whether children were caregiver fed or self-fed, and children's intake of a novel food during two eating occasions in a laboratory setting. Methods Caregivers (n = 55, 96% mothers) were given an oatmeal/lipid nutrient supplement mixture to offer to their infants/toddlers (7–24 months; 27 boys) on 2 occasions (Baseline [V1] and after 2 weeks of home exposure [V2]). Visits were video-recorded and coded for positive (e.g., leaning in, reaching for the spoon) and negative (e.g., crying/fussing, refusals) child behaviors at V1 and V2. The number of child self-feeding attempts were coded at both visits and children were subsequently divided into 3 groups: Never (0 attempts), Sometimes (1–5 attempts), and Often self-feeds (6 + attempts). An Analysis of Covariance (ANCOVA) was performed for each visit to determine whether amounts consumed (g) differed by self-feeding group, controlling for child age (months) and number of home exposures (at V2 only). ANCOVA was also performed to determine whether child negative behaviors differed by self-feeding group, with age and number of home exposures as covariates. Results Observed positive behaviors had no significant association with consumption. At V1, age (F = 11.5, P = .001), but not self-feeding group (F = 2.5, P = .096), was significantly related to amounts consumed. After 2 weeks of home exposure (V2), amounts consumed varied by self-feeding group (F = 3.20, P = .049) with children in the Often self-feeding group consuming significantly more (36.0 ± 5.2 g) than children in the Never (P = .045; 22.2 ± 3.8 g) and Sometimes (P = .023; 19.2 ± 5.3 g) groups. Negative behaviors also differed by self-feeding group (F = 3.46, P = .039), with children in the Often group displaying fewer negative behaviors compared to children in the Sometimes group (P = .045), controlling for age and home-exposures. Conclusions Child self-feeding resulted in greater food consumption and fewer negative child behaviors. Enabling children to learn to self-feed may be an important component of improving food acceptance as well as child and caregiver feeding experiences during the challenging toddler period. Funding Sources Global Alliance for Improved Nutrition.

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Susan Johnson ◽  
Kameron Moding ◽  
Abigail Flesher ◽  
Kathryn Davis ◽  
Rebecca Boenig ◽  
...  

Abstract Objectives Young children need repeated exposure to learn to like new foods but can eat only foods caregivers offer. Thus, caregiver feeding decisions are central in determining whether children receive sufficient exposure to learn to like new foods. We undertook an exploratory study to: 1) examine child behaviors that influence caregiver perceptions of their child's liking for novel foods; and to 2) identify which child behaviors are associated with caregiver intentions to continue offering new foods. Methods Infants/toddlers (n = 106; 57 males; 6 – 24 mo) were observed tasting up to 8 offers of a novel food (pureed kale) by their caregivers (94% mothers). Trained researchers coded videos for successful tastes, positive (e.g., reaching for the spoon, playing with the food) and negative (e.g., expelling the food, avoiding the spoon, crying) child eating behaviors and children's degree of acceptance of the kale (0 = refusal to 3 = anticipation). Caregiver ratings of child liking for the food (1 = Dislikes extremely to 9 = likes extremely) and their likelihood of re-offering the food (1 = not at all likely to 5 = very likely) were collected. Kruskal-Wallis tests explored differences in successful bites, frequencies of child behaviors, and caregiver ratings across child age (6 – 8.30 [mo.days]; 9 – 14.30; 15 – 24). Spearman correlations explored associations among successful tastes, child behaviors and caregiver ratings. Results Successful tastes decreased with child age (P = .000) and toddlers (15 – 24) exhibited more avoidant behavior (P = .000), cried more (P < .05), played more (P = .005), and had a lower degree of acceptance (P = .000) than infants (6 – 8.30). Perceptions of child liking and the likelihood of re-offering the kale were highly correlated (r = .63, P = .000) and did not differ by child age. Ratings of child liking and the likelihood of re-offering were: 1) negatively associated with avoidant behaviors (P < .001), crying (P < .05) or expelling kale (P < .000); and 2) positively associated with successful tastes (P < .05) and the degree of acceptance (P = .000). Conclusions Caregiver intention to continue offering a novel food was related to whether their child ate the food, how avidly the food was eaten, and how negatively their child reacted to the food. Getting children to eat and avoiding stressful feedings may be the immediate priority over building food acceptance. Funding Sources The Sugar Association.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 817-817
Author(s):  
Allison Shapiro ◽  
Abigail Flesher ◽  
Kendal Lattanzi ◽  
Renee Charlifue-Smith ◽  
Susan Johnson

Abstract Objectives Little inquiry has been undertaken regarding the interface of children's development of eating behaviors and their understanding of food-related (FR) words. Thus, we explored the relationship between young children's understanding of FR vocabulary (FR receptive language) and their acceptance of a novel food. Methods Caregivers (n = 35) and children ages 7–24 mo (n = 12 infants age &lt;12 mo; n = 23 toddlers age ≥12 mo) participated in a study in which caregivers offered a novel food (nutrition supplement added to infant oatmeal) to their children. Novel food acceptance was measured as g consumed. The Communicative Development Inventory assessed caregiver perceptions of infants’ understanding of 154 words related to food and eating (FR receptive language). A linear regression model with FR receptive language, age (toddler vs. infant) and a FR receptive language-by-age interaction was used to predict acceptance of the novel food. Covariates included infant sex and BMI z-score and a p &lt; 0.1 was chosen for this exploratory study. Results As expected, caregivers reported that infants understood fewer words as compared to toddlers (median [IQR]; 7 [13] vs. 33 [46], respectively). The relationship between FR receptive language and novel food acceptance differed by age (F = 8.08, p = 0.01). Among toddlers, greater FR receptive language (more food-related words understood) was associated with greater novel food acceptance (β [95% CI], 0.22g [−0.04, 0.49], p = 0.09). In younger infants, greater FR receptive language was associated with lower novel food acceptance (−0.80g [−1.53, −0.07], p = 0.03). Conclusions Receptive language facilitates children's understanding of their environment and contributes to shaping their behavior. Our preliminary findings suggest that greater FR receptive language may facilitate acceptance of novel food in toddlers. Younger infants were perceived to understand few words and may not have enough receptive language to positively influence food acceptance. Funding Sources This work was supported by the Government of Canada, as part of the Business Platform for Nutrition Research (BPNR) hosted by the Global Alliance for Improved Nutrition.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3065
Author(s):  
Norliza Ahmad ◽  
Zalilah Mohd Shariff ◽  
Firdaus Mukhtar ◽  
Munn-Sann Lye

The objective of this study was to evaluate the effect of a family-based intervention program (REDUCE) on children’s eating behaviors and dietary intake. A two-arm randomized controlled field trial was conducted among parents and children of 7 to 10 years old who were either overweight or obese. The intervention was conducted via face-to-face sessions and social media. The child eating behaviors were assessed using the child eating behaviors questionnaire (CEBQ), while their dietary consumption of vegetables and unhealthy snacks was assessed using a parental report of three days unweighted food. The generalized linear mixed modelling adjusted for covariates was used to estimate the intervention effects with alpha of 0.05. A total of 122 parents (91% response rate) completed this study. At the six-month post-training, there were statistically significant mean differences in the enjoyment of food (F(6481) = 4.653, p < 0.001), fruit and vegetable intake (F(6480) = 4.165, p < 0.001) and unhealthy snack intake (F(6480) = 5.062, p < 0.001) between the intervention and wait-list groups; however, it was not clinically meaningful. This study added to the body of knowledge of family-based intervention that utilized social media and assessed the effect in children’s eating behavior using the CEBQ and children’s dietary intake.


Author(s):  
Megan O. Bensignor ◽  
Rebecca L. Freese ◽  
Nancy E. Sherwood ◽  
Jerica M. Berge ◽  
Alicia Kunin-Batson ◽  
...  

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 381-381
Author(s):  
Yavuz Yagiz ◽  
Gary Wang ◽  
Liwei Gu

Abstract Objectives Berberine is a botanical alkaloid used widely for the prevention of several diseases. However, the absorption rate of berberine is less than 1% in human. The objectives of this study were to determine whether emulsification by TPGS or Quillaja extract affect the absorption and metabolism of orally ingested berberine in human volunteers. Methods Twelve healthy subjects (7 male and 5 females, 21–50-year-old) participated this study. Each subject received 800 mg berberine in a powder form or emulsified with TPGS or Quillaja extract using a randomized crossover design with one-week washout period. Blood samples were collected at 0, 0.5, 1, 2, 3, 4, 6, 8, and 12 hours after dose. Plasma was hydrolyzed with glucuronidase and sulfatase before total content of berberine and its metabolites were analyzed on LC/MS/MS. Free forms of metabolites were determined in plasma without hydrolysis. Pharmacokinetic parameters were calculated using a non-compartment model before they were compared by analysis of covariance. Results The area under the curve (AUC) and peak plasma concentration (Cmax) of berberine was 6.6 μM.hr and 0.9 μM in participants received berberine powder. They were increased to 18.3 μM.hr and 4.5 μM by TPGS emulsification and 28 μM.hr and 5.1 μM by Quillaja extract emulsification, respectively. Berberrubine and demethylberberine were major metabolites of berberine. The AUC of free Berberrubine and demethylberberine was increased by 1.9 fold and 1.6 fold by TPGS and 5.9 folds and 2.7 folds by Quillaja extract, respectively, compared to berberine powder. Participants received berberine powder had AUC of 254 μM.hr and Cmax of 33 μM for total berberrubine. TPGS emulsification increased these values to 425 μM.hr and 54 μM, while Quillaja extract increased them to 341 μM.hr and 44 μM, respectively. Significant increases of AUC and Cmax were also observed for total demethylberberine by TPGS or Quillaja extract emulsification. Conclusions Emulsification of berberine with TPGS or Quillaja extract significantly increased the absorption of berberine and its metabolites in human compared to berberine supplement without emulsifiers. Funding Sources Florida High Tech Corridor Council and Designs for Health.


Obesity ◽  
2006 ◽  
Vol 14 (11) ◽  
pp. 2026-2033 ◽  
Author(s):  
Scott W. Powers ◽  
Leigh A. Chamberlin ◽  
Kelly B. van Schaick ◽  
Susan N. Sherman ◽  
Robert C. Whitaker

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